对肌肉骨疼痛的认知行为疗法的有效性:系统性审查和元分析
Xianjun Liu1, Wenxue Yuan1, Xinman Gao1
1School of General Education, Dalian University of Technology, Dalian, China.
Frontiers in psychology
|February 5, 2026
概括
认知行为疗法 (CBT) 有效地减少慢性肌肉骨疼痛患者的疼痛强度,灾难性和功能障碍. 这一元分析证实CBT是一种可靠的非药物治疗选择.
科学领域:
- 疼痛管理 疼痛管理
- 心理干预 心理干预
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 慢性肌肉骨疼痛是一种广泛的疾病,具有重大个人和社会影响.
- 慢性疼痛非药物治疗的有效性仍在研究中.
- 认知行为疗法 (CBT) 越来越多地用于疼痛管理,但证据是分散的.
研究的目的:
- 综合来自随机对照试验 (RCT) 关于CBT治疗慢性肌肉骨疼痛的疗效的证据.
- 提供CBT在疼痛管理中的治疗益处的最新评估.
主要方法:
- 在多个数据库 (PubMed,科学网,Scopus,Embase,PsycINFO,Cochrane图书馆) 进行系统的文献搜索.
- 根据预先定义的标准对符合条件的研究进行选.
- 使用柯克兰偏差风险2工具 (ROB 2.0) 进行质量评估.
- 来自14个高质量的RCT数据的元分析,涉及2,677名患者.
主要成果:
- 认知性治疗显著降低了疼痛强度 (SMD = -0.41),疼痛灾难化 (SMD = -0.77) 和功能残疾 (SMD = -0.20).
- 亚组分析显示,对疼痛强度的影响是一致的.
- 当用RMDQ测量时,功能残疾的结果是显著的和均的.
结论:
- 在慢性肌肉骨疼痛方面,CBT表现出一致的治疗益处.
- 研究结果支持CBT作为一种可靠的非药物治疗选择,用于治疗慢性疼痛.
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